Conn Syndrome
|
0.100 |
Biomarker
|
disease |
BEFREE |
The aim of this study was to review the clinical outcomes after mineralocorticoid receptor (MR) antagonist treatment versus adrenalectomy treatment in patients with PA.
|
30948836 |
2019 |
Conn Syndrome
|
0.100 |
GeneticVariation
|
disease |
BEFREE |
We included newly diagnosed patients with PA (n=26), and patients with PA after adrenalectomy (n=25) or treated with mineralocorticoid receptor antagonists (n=25).
|
30865926 |
2019 |
Conn Syndrome
|
0.100 |
Biomarker
|
disease |
BEFREE |
We measured active GLP-1 concentration in primary aldosteronism (PA) patients before and after the administration of MR antagonist eplerenone.
|
31091693 |
2019 |
Conn Syndrome
|
0.100 |
Biomarker
|
disease |
BEFREE |
Mineralocorticoid Receptor-Dependent Impairment of Baroreflex Contributes to Hypertension in a Mouse Model of Primary Aldosteronism.
|
31824340 |
2019 |
Conn Syndrome
|
0.100 |
Biomarker
|
disease |
BEFREE |
Primary aldosteronism (PA) is mainly treated by mineralocorticoid receptor antagonists or laparoscopic adrenalectomy (LA), but the effectiveness of surgical versus medical treatment in patients with adrenal venous sampling (AVS)-proven unilateral PA is unclear.
|
31488861 |
2019 |
Conn Syndrome
|
0.100 |
Biomarker
|
disease |
BEFREE |
Adrenal Vein Sampling Lateralization Despite Mineralocorticoid Receptor Antagonists Exposure in Primary Aldosteronism.
|
30239792 |
2019 |
Conn Syndrome
|
0.100 |
Biomarker
|
disease |
BEFREE |
Despite these imperatives, screening rates for PA are low, and mineralocorticoid-receptor antagonists are underused for hypertension treatment.
|
30359120 |
2018 |
Conn Syndrome
|
0.100 |
Biomarker
|
disease |
BEFREE |
Mineralocorticoid receptor antagonists result in significant improvement in blood pressure and serum potassium level among patients with primary aldosteronism.
|
30854950 |
2018 |
Conn Syndrome
|
0.100 |
GeneticVariation
|
disease |
BEFREE |
In 17 PA patients (6 APA and 11 IHA) the titer was evaluated under mineralocorticoid receptor (MR) antagonist treatment.
|
30058103 |
2018 |
Conn Syndrome
|
0.100 |
Biomarker
|
disease |
BEFREE |
Diagnostic utility of ARR and its components for PA diagnostics under MR blocker treatment warrants further study.
|
29723896 |
2018 |
Conn Syndrome
|
0.100 |
GeneticVariation
|
disease |
BEFREE |
Patients with PA who were treated with MR antagonists were categorized by whether their plasma renin activity remained suppressed (< 1 ng/mL/h) or substantially increased (≥ 1 ng/mL/h), as proxies for insufficient or sufficient MR blockade.
|
30027227 |
2018 |
Conn Syndrome
|
0.100 |
Biomarker
|
disease |
BEFREE |
Lifelong therapy with mineralocorticoid receptor antagonists (MRAs) or surgical adrenalectomy are the recommended treatments for primary aldosteronism (PA).
|
29987110 |
2018 |
Conn Syndrome
|
0.100 |
GeneticVariation
|
disease |
BEFREE |
The latter step is necessary to determine the optimal treatment approach of unilateral laparoscopic adrenalectomy (for patients with unilateral PA) or medical treatment with a mineralocorticoid receptor antagonist (for patients with bilateral PA).
|
29674485 |
2018 |
Conn Syndrome
|
0.100 |
Biomarker
|
disease |
BEFREE |
The current practice of MR antagonist therapy in primary aldosteronism is associated with significantly higher risk for incident cardiometabolic events and death, independent of blood pressure control, than for patients with essential hypertension.
|
29129576 |
2018 |
Conn Syndrome
|
0.100 |
Biomarker
|
disease |
BEFREE |
Primary aldosteronism is recognized as a severe form of renin-independent aldosteronism that results in excessive mineralocorticoid receptor (MR) activation.
|
29052707 |
2017 |
Conn Syndrome
|
0.100 |
Biomarker
|
disease |
BEFREE |
The frequency of hyperkalemia after medication using mineralocorticoid receptor antagonists (MRAs) for PA is unclear.
|
28540931 |
2017 |
Conn Syndrome
|
0.100 |
Biomarker
|
disease |
BEFREE |
Mineralocorticoid receptor antagonist therapy alone may not be sufficient to counteract adverse metabolic risk in medically treated patients with primary aldosteronism.
|
28422753 |
2017 |
Conn Syndrome
|
0.100 |
Biomarker
|
disease |
BEFREE |
A/C = cortisol-corrected aldosterone concentration; ACE = angiotensin-converting enzyme; APA = aldosterone-producing adenoma; APCC = aldosterone-producing cell cluster; ARB = angiotensin receptor blocker; ARR = aldosterone-to-renin ratio; AVS = adrenal venous sampling; CT = computed tomography; ENaC = epithelial sodium channel; GRA = glucocorticoid remediable aldosteronism; IHA = idiopathic hyperaldosteronism; LI = lateralization ratio; MR = mineralocorticoid receptor; MRI = magnetic resonance imaging; PA = primary aldosteronism; PRA = plasma renin activity; SRA = surgical remediable aldosteronism.
|
28332881 |
2017 |
Conn Syndrome
|
0.100 |
Biomarker
|
disease |
BEFREE |
GCs play key roles in skin pathophysiology acting through both GR and MR; however, the effects of aldosterone and the potential association of PA and skin disease were not previously addressed.
|
29150654 |
2017 |
Conn Syndrome
|
0.100 |
Biomarker
|
disease |
BEFREE |
Aldosterone producing adenoma and bilateral adrenal hyperplasia are the two most common subtypes of primary aldosteronism (PA) that require targeted and distinct therapeutic approaches: unilateral adrenalectomy or lifelong medical therapy with mineralocorticoid receptor antagonists.
|
28420172 |
2017 |
Conn Syndrome
|
0.100 |
Biomarker
|
disease |
BEFREE |
Twenty patients had repeat PSG performed after treatment for PA (mineralocorticoid receptor antagonists in 13 with bilateral PA and adrenalectomy in 7 with unilateral PA).In this group the median (s.d.)
|
28382959 |
2017 |
Conn Syndrome
|
0.100 |
GeneticVariation
|
disease |
BEFREE |
Mineralocorticoid receptor antagonist (MRA) treatment might be associated with higher risk of osteoporotic fracture in the whole female PA cohort (subdistribution hazard ratio [SHR] = 2.12, p = 0.008) as well as female APA patients (SHR = 1.15, p = 0.049).
|
27862274 |
2017 |
Conn Syndrome
|
0.100 |
Biomarker
|
disease |
BEFREE |
New questions for the next 5 years include a single accepted confirmatory/exclusion test; standardisation of assays and cut-offs; alternatives to universal adrenal venous sampling; reclassification of 'low renin hypertension'; recognition of the extent of 'occult' PA; inclusion of low-dose mineralocorticoid receptor antagonist in first-line therapy for hypertension; and finally, possible resolution of the aldosterone/inappropriate sodium status enigma at the heart of the cardiovascular damage in PA.
|
26588848 |
2015 |
Conn Syndrome
|
0.100 |
Biomarker
|
disease |
BEFREE |
Mineralocorticoid receptor antagonists (MRAs) have effectively been used for the treatment of patients with hypertension who do not have primary aldosteronism (PA).
|
25974737 |
2015 |
Conn Syndrome
|
0.100 |
Biomarker
|
disease |
BEFREE |
The antihypertensive efficacy of mineralocorticoid-receptor blockers, even in patients with aldosterone values in the normal range, supports the evidence that aldosterone plays a part in blood pressure elevation in the absence of primary aldosteronism.
|
20027193 |
2010 |